Reka twige ku mabuye y'impyiko mu buryo bworoshye. Ese nawe ufite iki kibazo?

Ushobora kuba warumvise iby'utubuye tw'impyiko. Birashoboka ko umwe mu nshuti zawe cyangwa abavandimwe bawe yigeze kugira iyi ndwara. Uyu munsi, turaganira gusa ku byerekeye utubuye tw'impyiko icyo ari cyo, impamvu tuvuka, n'icyo wakora nituvuka. Nta cyo ugomba gutinya, ni ngombwa cyane kubimenya.

Amabuye y'impyiko ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Reka tubanze turebe ayo mabuye y’impyiko. Uzi ko dufite impyiko ebyiri mu mubiri wacu. Izi ni nk’utuyunguruzo tubiri mu mubiri wacu. Akamaro k’impyiko ni ukuyungurura no gutandukanya imyanda idakenewe mu maraso, tukayivanga n’amazi hanyuma tukayisohora nk’inkari, ni ukuvuga inkari .

Tekereza kuri ubu buryo, rimwe na rimwe iyo ibintu bimwe na bimwe mu nkari zawe, urugero nka kalisiyumu , oxalate , na aside urike, birushijeho kuba byinshi, bihurira hamwe bigakora utuntu duto. Ni nk'aho wongeyemo isukari mu kirahuri cy'amazi, isukari iramanuka. Utwo dusimba twifatanya kandi uko igihe kigenda gihita, tukaba ibintu bikomeye, bisa n'amabuye. Ibyo ni byo twita amabuye y'impyiko .

Aya mabuye ashobora kuza mu bunini bwose. Amwe ni mato nk'agace k'umucanga. Ashobora gusohoka mu nkari zawe utabizi. Ariko amwe ni manini gato, angana n'amashaza, ndetse rimwe na rimwe akaba manini kurushaho. Ni bwo ibibazo bitangira. Aya mabuye manini ashobora gutera ububabare bukomeye , amaraso ashobora gusohoka mu nkari zawe , kandi rimwe na rimwe ashobora kuziba urethra no kubuza inkari gusohoka.

Kuki aya mabuye y'impyiko avuka? Ese izi mpamvu nawe zirakugiraho ingaruka?

Ushobora kwibaza uti "Kuki ibi byambayeho?". Ntabwo ari impamvu imwe gusa itera amabuye mu mpyiko, hari ibintu byinshi bishobora kuyatera. Reka turebe impamvu nyamukuru:

• Kutanywa amazi ahagije: Iyi ni yo mpamvu nyamukuru kandi ikunze kugaragara . Iyo utanywa amazi ahagije ku munsi, inkari zawe ziba nyinshi. Hanyuma, ibintu nka kalisiyumu navuze mbere bishobora kwirundanya byoroshye no gukora amabuye.
• Indyo: Kurya ibiryo bimwe na bimwe cyane nabyo bishobora kugira ingaruka.
• Ibyokurya birimo umunyu mwinshi (sodium): Kurya umunyu mwinshi bishobora kongera ingano ya kalisiyumu mu nkari.
• Ibiribwa birimo poroteyine nyinshi mu matungo: Kurya inyama nyinshi, amafi n'amagi nabyo bishobora gutuma habaho ubwoko bumwe na bumwe bw'amabuye.
• Ibiribwa birimo oxalate nyinshi: Ibiribwa nk'ibirayi bya epinari, amababi y'icyayi, ubunyobwa, na shokora birimo oxalate nyinshi. Kurya byinshi muri ibi nabyo bishobora gutuma habaho amabuye ya oxalate ya kalisiyumu. Ariko, si ngombwa guhagarika burundu kurya ibi biribwa, ariko ni ngombwa kubigenzura ukurikije inama za muganga.
• Amateka y'umuryango: Niba hari umuntu wo mu muryango wawe warwaye amabuye y'impyiko, nawe ushobora kuyarwara. Ibi bivuze ko hashobora kubaho ingaruka ku miterere y'umubiri.
• Indwara zimwe na zimwe:
• Niba ukunze kurwara indwara zo mu nzira y'inkari (UTI).
• Mu ndwara nka hyperparathyroidism, uturemangingo twa parathyroid dukora imisemburo myinshi cyane, bigatuma urugero rwa kalisiyumu mu maraso no mu nkari ruzamuka.
• Abantu barwaye goutte bashobora kurwara amabuye ya aside urique.
• Abantu bafite indwara yo kubyimba amara (IBD) nabo bashobora kuba bafite ibyago byinshi byo kurwara amabuye.
• Imiti imwe n'imwe: Hari imiti ishobora gutuma amabuye avuka nk'ingaruka mbi nubwo yakoreshwa igihe kirekire. Niba ufata imiti iyo ari yo yose, ni byiza kuganira na muganga wawe kuri ibi.
• Umubyibuho ukabije: Byagaragaye ko abantu bafite umubyibuho ukabije nabo bafite ibyago byinshi byo kurwara amabuye mu mpyiko.
• Inenge mu miterere y'inkari: Amabuye ashobora no kuvuka bitewe n'inenge zimwe na zimwe mu miterere y'inkari.

Mu magambo make , amabuye y'impyiko ntavuka mu ijoro rimwe. Aterwa n'ingeso n'impinduka mu mubiri bigenda byiyongera uko igihe kigenda gihita.

Ese hari ubwoko butandukanye bw'amabuye y'impyiko? Ni ayahe?

Yego, amabuye y'impyiko si ubwoko bumwe. Hari ubwoko bwinshi bw'ingenzi. Ubu bwoko bushingiye ku bikoresho ibuye rikoramo.

• Amabuye ya Kalisiyumu: Aya ni yo akunze kugaragara cyane . Ashobora kumera nka Kalisiyumu Oxalate cyangwa, gake cyane, nka Kalisiyumu Fosfate.
• Amabuye ya Struvite: Ibi bikunze kujyana n'indwara zo mu nzira y'inkari (UTI). Aya mabuye ashobora gukura vuba kandi rimwe na rimwe ashobora gukwirakwira mu gice kinini cy'impyiko (`Staghorn calculi`).
• Amabuye ya aside urike: Ubu bwoko bw'amabuye bushobora kugaragara mu bantu banywa ibinyobwa bike, barya indyo irimo poroteyine nyinshi mu nyamaswa, cyangwa barwaye goutte.
• Amabuye ya Cystine: Aya ni make cyane. Aya mabuye avuka iyo impyiko zikora aside amine nyinshi ya cystine ku bantu bafite ikibazo cya genetike cyitwa cystinuria.

Ni ngombwa kumenya ubwoko nyabwo bw'ibuye, kugira ngo ushobore gufata icyemezo cy'icyo wakora kugira ngo wirinde ko amabuye yongera kubaho.

Wamenya ute ko ufite ibuye ry'impyiko? Witondere ibi bimenyetso

Akenshi, utubuye duto duca mu nkari nta bimenyetso na bimwe. Ariko, ibimenyetso bigaragara gusa iyo ibuye ari rinini cyangwa iyo rishyizwe mu muyoboro muto utwara inkari (ureter). Ibi bimenyetso bishobora gutangira mu buryo butunguranye.

• Ububabare bukabije: Iki ni cyo kimenyetso nyamukuru. Bugaragara mu gace gakikije impyiko, ni ukuvuga inyuma hejuru y'igituba, munsi y'imbavu.Aha niho ubu bubabare buturuka. Ubu bubabare bugenda bwiyongera buhoro buhoro kandi bushobora kuba bukomeye cyane (Renal Colic). Hari igihe ubu bubabare buza bugashira nk'umuraba. Ubu bubabare bushobora gukwirakwira mu nda yo hasi no mu kibuno .
• Kubabara cyangwa gushya mu gihe cyo kunyara (Dysuria): Hashobora kubaho ububabare cyangwa kumva ushyushye mu gihe cyo kunyara .
• Ihinduka ry'ibara ry'inkari (Hematuria): Iyo inkari zihindutse umutuku, umutuku, cyangwa umukara, bishobora gusobanura ko hari amaraso mu nkari .
• Impinduka mu miterere y'inkari: Inkari zishobora kuba zuzuye ibicu cyangwa zikagira impumuro mbi.
• Isesemi no kuruka: Isesemi no kuruka ni ibisanzwe hamwe n'ububabare.
• Kunyara kenshi: Kumva ukeneye kunyara kenshi, ariko inkari nke gusa ni zo zishobora gusohoka iyo unyara .
• Umuriro n'ubukonje: Iyo indwara y'inkari ikwirakwira hamwe n'ibuye, umuriro ushobora kuvuka.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza guhita ugisha inama kwa muganga.

Ni ryari wagombye kujya kwa muganga? Ntiwibagirwe ibi bintu

Utubuye tumwe na tumwe dushobora gutangwa hakoreshejwe imiti yo mu rugo, nko kunywa amazi menshi. Ariko, mu bihe nk'ibi, ugomba kujya kwa muganga:

• Niba hari ububabare budashobora kwihanganira .
• Niba hari amaraso mu nkari .
• Niba ufite ikibazo cyo kunyara , cyangwa niba inkari zawe zisa n'aho zahagaze burundu.
• Niba ufite umuriro, ubukonje, no guhinda umushyitsi hamwe n'ububabare.
• Niba udashobora kunywa ikintu icyo ari cyo cyose bitewe no kugira isesemi no kuruka bihoraho.

Gushaka kuvurwa vuba mu bihe nk'ibi bishobora kugabanya kwangirika kw'impyiko.

Ni gute umuganga asuzuma amabuye y'impyiko? (Isuzuma)

Iyo ugiye kwa muganga, babanza kukubaza ibimenyetso byawe ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk'ibyo. Hanyuma bazakora isuzuma ry'umubiri. Byongeye kandi, bashobora gukora ibizamini nk'ibi kugira ngo bamenye neza niba ufite amabuye mu mpyiko, aho ari, n'ingano yayo:

• Isesengura ry'inkari: Hafatwa icyitegererezo cy'inkari kigasuzumwa amaraso, bagiteri, na kristu zishobora gukora amabuye.
• Gupima amaraso: Ibi bifasha kugenzura imikorere y'impyiko n'urugero rw'ibintu nka kalisiyumu na aside urike mu maraso.
• Ibizamini byo Gushushanya:
• `Isuzuma rya CT (Isuzuma rya Computed Tomography)`:Iki ni cyo kizamini cyiza cyane cyo kumenya amabuye. Gishobora gutanga ibisobanuro byinshi, nko kumenya aho ibuye riherereye, ingano yaryo, ndetse no kumenya niba impyiko yabyimbye.
• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Ubu buryo kandi ntibubabaza kandi bufite umutekano. Bukoreshwa cyane cyane ku bantu badashobora gupimwa hakoreshejwe ikoranabuhanga rya CT, urugero nk'abagore batwite.
• Gusuzuma X-ray `(KUB X-ray - Impyiko, Ureters, Inkari)`: Hari ubwoko bw'amabuye bushobora kugaragara hamwe n'ibi. Ariko, si amabuye yose agaragara kuri X-ray.
• Isesengura ry'amabuye yavuye mu nkari: Niba wakuyemo ibuye mu nkari zawe , rijyane kwa muganga wawe . Bashobora kurituma muri laboratwari kugira ngo bamenye ibikoresho byaryo. Ayo makuru ashobora gufasha gukumira amabuye kongera kubaho.

Ni ubuhe buryo bwo kuvura amabuye mu mpyiko? Ntugahangayike, hari ibisubizo.

Uburyo bwo kuvura amabuye y'impyiko buterwa n'ingano, ubwoko, aho ibuye riherereye, ndetse n'uburemere bw'ibimenyetso byawe.

Uburyo bwo kuvura amabuye mato:

Kenshi na kenshi, amabuye ari munsi ya milimetero 5-6 ashobora guhita nta buvuzi bwihariye. Kuri ibyo, muganga ashobora kukugira inama ikurikira:

• Nywa amazi menshi: Kunywa nibura litiro 2-3 z'amazi ku munsi bizafasha kongera inkari no gukuramo ibuye. Nywa amazi kugeza igihe inkari zawe zidafite ibara cyangwa umuhondo woroshye.
• Imiti igabanya ububabare: Kugira ngo ugabanye ububabare, ushobora gufata imiti isanzwe igabanya ububabare nka Ibuprofen, cyangwa imiti igabanya ububabare yoroheje yandikiwe na muganga wawe.
• Ubuvuzi bwo Gukoresha Internal Expulsive: Hari igihe bahabwa imiti igabanya ubukana bwa alpha-blockers, nka tamsulosin. Iyi miti iruhura imitsi yo mu muyoboro w'inkari kandi igafasha ibuye gutambuka byoroshye.

Uburyo bwo kuvura amabuye manini cyangwa afite ikibazo:

Iyo ibuye ari rinini, ritera ububabare bukabije, rigatera indwara mu nzira y'inkari, cyangwa niba risa nkaho ryangiza impyiko, ubu buryo bukurikira bushobora gukoreshwa:

• Indwara yo gushoka hanze y'umubiri (Extracorporeal Shock Wave Lithotripsy): Ibi bikubiyemo kohereza amajwi afite imbaraga nyinshi (shock waves) aturutse hanze y'umubiri kugira ngo amenagure ibuye mo uduce duto. Uduce duto hanyuma tugasohoka mu nkari . Ibi bishobora gukorwa hakoreshejwe ikinya cyangwa nta n'ikinya.
• `Ureteroscopy (URS):` Muri ibi, umuyoboro muto, ufite kamera (`Ureteroscope`) ushyirwamo unyuze mu muyoboro w'inkari (`Urethra`) no mu ruhago (`Uruhago`) ujya mu muyoboro w'inkari (`Ureter`) cyangwa mu mpyiko kugira ngo haboneke ibuye. Hanyuma, ibuye rikurwaho hakoreshejwe ibikoresho byihariye, cyangwa ikintu nka `Laser` gikoreshwa mu kumenagura ibuye no kurikuraho.
• "Nephrolithotomy yo mu ruhu (PCNL)":Ubu ni ukubaga gukomeye gato. Bikorwa iyo hari amabuye manini cyane, cyangwa niba uburyo nka `ESWL` budakora neza. Muri ibi, hakorwa icyuho gito inyuma y'impyiko, hanyuma hagashyirwamo igikoresho cyo gukuramo ibuye.
• Kubagwa kwa Parathyroid: Hari igihe, niba impamvu y'amabuye mu mpyiko ari hyperparathyroidism, kubagwa bishobora kuba ngombwa kugira ngo ikibazo gikemuke hakoreshejwe parathyroid glands.

Wibuke ko muganga wawe ari we uzaguhitiramo uburyo bwiza bwo kuvura, bityo rero ni ngombwa gukurikiza amabwiriza ye.

Ese ushobora gukumira amabuye y'impyiko kongera kubaho? Gerageza ibi bintu

Iyo umaze kugira ibuye ry’impyiko, uba ufite amahirwe menshi yo kongera kurirwara. Ariko inkuru nziza ni uko guhindura gato imibereho yawe n’imirire bishobora kugabanya cyane ibi byago.

• Amazi ni umwami!
• Nywa nibura litiro 2.5 - 3 z'amazi ku munsi. Nywa byinshi kurushaho mu minsi ishyushye no mu gihe ukora imyitozo ngororamubiri.
• Intego ni ukunywa amazi kugeza igihe inkari zawe zibaye umuhondo woroshye cyangwa zidafite ibara .
• Witondere indyo yawe: (Ibi bishobora gutandukana bitewe n'ubwoko bw'ibuye ryawe. Kubwibyo, ni byiza kugisha inama muganga cyangwa inzobere mu mirire.)
• Gabanya Sodiyumu: Gabanya umunyu wongera mu biryo byawe. Ibiryo byatunganyijwe nk'ibiryo byo mu macupa, noodles zikonjeshwa vuba, isosi, na sosiso birimo umunyu mwinshi.
• Gabanya Poroteyine z'amatungo: Gabanya kurya inyama zitukura, inkoko n'amagi. Ahubwo, gerageza kubona poroteyine yawe mu mboga, imbuto n'imbuto z'ibinyamisogwe.
• Witondere ibiryo birimo oxalate nyinshi: Niba ufite amabuye ya kalisiyumu, gabanya kurya ibiryo birimo oxalate nyinshi, nka epinari, beterave, ubunyobwa, icyayi, na shokora. Ariko ntureke burundu kurya ibiryo birimo kalisiyumu nyinshi (amata, yawurute, foromaje). Kuko niba indyo yawe ifite kalisiyumu nkeya, ushobora kwinjiza oxalate nyinshi. Shaka inama kwa muganga kuri ibi.
• Gabanya ibinyobwa birimo isukari n'ibiribwa birimo isukari nyinshi na fructose.
• Komeza kugira ibiro bizima.
• Imiti gusa iyo muganga ayigutegetse: Kuri bamwe, muganga ashobora kuguha imiti nka thiazide diuretics na allopurinol kugira ngo wirinde ko amabuye yongera kubaho.

Ubutumwa bwo kujyana mu rugo

Amabuye mu mpyiko ashobora kuba ikintu kibabaza, ariko ntugatinye.

• Amabuye yo mu mpyiko ni indwara ishobora kuvurwa.
• Niba ubonye ibimenyetso, cyane cyane ububabare bukabije cyangwa amaraso mu nkari zawe , hita ubonana na muganga.
• Kunywa amazi menshi ni bwo buryo bworoshye kandi bwiza bwo kwirinda kwirema kw'amabuye.
• Kurikiza amabwiriza ya muganga wawe witonze. Kurikiza amabwiriza yatanzwe yo kuvura no kwirinda ko amabuye yongera kubaho.
• Ntukishingikirize ku gukekeranya. Niba ufite ikibazo, vugana na muganga kuri cyo maze ubone amakuru nyayo n'ubuvuzi.

Ndizera ko aya makuru azaba ingirakamaro. Komeza ugire ubuzima bwiza!

Amabuye yo mu mpyiko, Ububabare bw'impyiko, Amabuye yo mu nkari, Colic y'impyiko, Hematuria, Ubuvuzi bw'Amabuye yo mu mpyiko